Yemen: Cholera Response and Diphtheria Update Emergency Operations Center Situation Report No.16 Week 49 ( 4 – 10 ) December 2017 2,225 Deaths of Cholera 983,484 Suspected Cholera Cases Cholera Update: • There were 6,552 suspected cholera cases and 1 associated deaths in week 49. No governorate reported a CFR higher than 1%. • Cumulative (27 April to 10 December 2017) total of 983,484 suspected cholera cases 2,225 associated deaths, and CFR of 0.23 %. • The national attack rate is 357.10 per 10,000. The five governorates with the highest cumulative attack rates per 10,000 are Amran, Al Mahwit , Al Dhale’e , Abyan , and Hajjah . • Children under 5 years old represent 28 % of total suspected cases. • Trend between weeks 46 and 48 was stable or decreased among all governorates except in Abyan (+20%). • Use of RDTs has significantly increased since week 40. Out of 458 RDTs performed, 92 were positive. • The weekly number of cases has been decreasing for 13 consecutive weeks. • The weekly proportion of severe cases has significantly decreased representing 10% of admitted cases. Epidemic curve at country level Emergency Operations Center- Situation Report. Issue.16
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Yemen: Cholera Response and Diphtheria Update Emergency Operations Center
UNICEF is still working to support Yemen's water and sanitation
system to prevent cholera from emerging again. More than
23,000 houses in Aden benefited from disinfecting water
tanks. Photo: UNICEF
• Support to solid Waste management is ongoing in Kuhlan Ash Sharaf district in Hajjah governorate. Waste water treatment plants are
supported in Aden, Al Hudaydah and Amanat Al Asimah, Dhamar and Hajjah with approximately 3.3 million people connected. Desludging
of cesspits is ongoing in Bani Al Harith district in Sana’a city.
• DTCs are supported with distribution of consumable hygiene kits in Al Hali district in Al Hudaydah. Partners provided handwashing facilities
in DTCs in 1 district in Hajjah.
Challenges and Concerns: Cholera
• Limited availability of WASH supplies in the local market impedes blanket distributions.
• Some WASH partners face access issues in most affected communities due to security risks or the bureaucratic procedures entailed to grant
access. Visa constraints also hinder WASH experts from coming into the country.
• The cholera response of WASH partners competes with other WASH emergency response priorities, such as the provision of clean water and sanitation for displaced populations and the response to malnutrition. The health system has been weakened by the ongoing conflict. More than 55% of all facilities are closed or are only partially functional. Water and sanitation systems have been disrupted and continued funding is required for the operation and maintenance of these systems to control outbreaks such as cholera and AWD.
• Blockage of borders and stopping delivery of humanitarian aid into Yemen may have devastating effects on cholera situation. With possible lack of medical supplies to respond to the epidemic in the coming few weeks. While health cluster has enough medical supplies to respond to the epidemic for 6-8 weeks, lack of medical supplies may result in higher case fatality that is currently is around 0.24% with more deaths of cholera.
• The health system has been weakened by the ongoing conflict. More than 55% of all facilities are closed or are only partially functional. Water and sanitation systems have been disrupted and continued funding is required for the operation and maintenance of these systems to control outbreaks such as cholera and AWD.
• Misreporting of suspected cholera cases in many health facilities accounts for a misleading increased case load observed in some governorates and districts. There is a lack of capacity and resources of some partners to conduct regular supervisory visits to DTCs and ORPs. Health partners need some time to adjust their projects to the new endorsed modality of work for health partners in health facilities.
• Collecting stool samples for laboratory testing, transporting the samples to laboratory and provision of operational cost, and availability of supplies and reagents.